Nonmydriatic Ocular Fundus Imaging in Consecutive Patients With Headache in an Emergency Department

NMFP-OCT obtained in our ED for 129 consecutive patients presenting with active headaches (groups 1-3) allowed for rapid diagnosis of papilledema in 5 patients (3.9%), and other relevant findings in 8 patients (6.2%), with 40 patients (23.6%) not undergoing NMFP-OCT. Among the patients who presented to the ED for non-neurologic reasons with active headaches or those patients with only a history of headaches (groups 3-4), none had papilledema. NMFP-OCT enabled prompt and accurate rule-out of papilledema in patients with headaches presenting to our ED and facilitated rapid and reliable examination of the ocular fundus.